| Waco Family Medicine - Pharmacy | |
|
1600 Providence Dr Waco TX 76707-2261 | |
| (254) 313-4307 | |
| (254) 313-4520 |
| Full Name | Waco Family Medicine - Pharmacy |
|---|---|
| Speciality | Pharmacy - Community/retail Pharmacy |
| Location | 1600 Providence Dr, Waco, Texas |
| Authorized Official Name and Position | Matthew Polk (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2543134412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waco Family Medicine - Pharmacy 1600 Providence Dr Waco TX 76707-2261 Ph: (254) 313-4307 | Waco Family Medicine - Pharmacy 1600 Providence Dr Waco TX 76707-2261 Ph: (254) 313-4307 |
| NPI Number | 1598783763 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598783763 | NPI | - | NPPES |
| 4533293 | Other | TX | NCPDP |
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